HIV／AIDS患者口腔行为及病损的调查和分析

目的了解HIV感染者和AIDS患者口腔健康行为及口腔病损的特点。方法以来本院就诊的55例HIV/AIDS患者为调查对象,对口腔健康行为进行问卷调查,对其口腔卫生状况、口腔黏膜及牙周病损进行临床检查,就CD4细胞计数和出血指数、菌斑指数进行相关性分析。结果 55例HIV/AIDS患者口腔卫生习惯和卫生状况较差,有口腔科就诊史的有34例（61.8%）,曾在传染病医院就诊的仅有1例（2.94%）;HIV相关口腔病损患者有20例（36.4%）,普通牙周病患者有42例（96.3%）,CD4细胞计数和出血指数、菌斑指数之间无显著相关性。结论随着抗病毒药物的应用,HIV/AIDS相关口腔病损发病率明显降低,而普通牙周病发病率较高,可能与口腔卫生不良有关。HIV/AIDS患者就诊口腔科的随意性强,口腔科医生在诊疗中要加强防护意识。

Analysis on oral behaviour and oral lesions in patients with HIV/AIDS

Objective To observe the characteristics of oral health behavior and oral lesions in patients with HIV/AIDS.Methods Total of 55 HIV/AIDS cases were enrolled and questionnaire survey and oral examination were carried out for oral health behavior,oral hygiene status,oral mucosal and periodontal lesions.Association between CD4 cell counts and bleeding index（BI）,plaque index（PI）were determined.Results The oral hygiene habits and status of the 55 patients were not very well,total of 34 patients had oral medical history（61.8%）,only 1 patient（2.94%）selected infectious diseases hospital for treatment,20 patients presented HIV-related oral lesions（36.4%）,42 patients presented conventional periodontal diseases（96.3%）.No significant relationship between BI,PI and CD4 cell counts were observed.Conclusions With the introduction of anti-HIV therapies,the prevalence of HIV-related oral lesions is markedly reduced,however,the prevalence of common voluntary dental care of HIV/AIDS patients,dentists should strengthen professional protection.